9 results · grouped by type
Salud a su Casa / Territorios Saludables (community primary health care in Bogotá)Primary health care strategy of Bogotá's district government: territorial teams (doctors, nurses, public health technicians and community health workers) that visited, house by house, families in areas of high social fragility. It was born in 2004 as 'Salud a su Casa' and was expanded in 2012-2016 as 'Territorios Saludables' (1,000-1,005 microterritories of ~800 families, ~8,000 workers, reported coverage of 2.9-3.7 million people). Published ecological evaluations associate the strategy with reductions in infant mortality and in child health inequalities across localities. It was dismantled starting January 31, 2016 by the Peñalosa administration, which cited high cost, a weak information system and results that could not be demonstrated.Home-Based Newborn Care (SEARCH Gadchiroli)Home-based newborn care model created by SEARCH in the tribal district of Gadchiroli, Maharashtra. Trained community health workers (arogyadoots) make home visits to care for the newborn, manage neonatal sepsis and educate mothers. The field trial published in The Lancet (Bang et al. 1999) covered 1993-1998 and showed a ~62% reduction in neonatal mortality; the ten-year follow-up (1993-2003) confirmed the effect. The Government of India adopted it as the basis of the national HBNC program (2011) and WHO/UNICEF took it to other low- and middle-income countries.Khushi Baby / CHIP (Community Health Integrated Platform)Born in 2014 as a university project at Yale: a culturally adapted NFC pendant that stores the baby's vaccination history and is scanned at immunization camps. A cluster RCT in Udaipur (Vaccine 2018, 96 villages in 3 arms) evaluated the pendant + voice reminders against a control NFC sticker. It evolved into CHIP, a digital platform for community health workers adopted by the government of Rajasthan as technical partner, today with 85,000+ workers enabled in Rajasthan, Maharashtra and Karnataka, including a Climate & Health Vulnerability Index (CHVI) developed with the Rajasthan Department of Health.Lwala Community Alliance (community-led community health model)Organization founded in 2007 by brothers Milton and Fred Ochieng', natives of the village of Lwala (Migori County), after losing their parents to AIDS. Community-led health model: professionalized and paid community health workers (including retrained traditional birth attendants), community committees, a rural hospital and health policy reform alongside the Ministry of Health. It has scaled to three counties (Migori, Homa Bay, Baringo), going from 600,000 people reached in 2023 to 2.8 million in 2024, with more than 8,300 CHWs supported and skilled birth attendance rates above 90% in its intervention areas.eCHIS Kenya (electronic Community Health Information System)National community health information system of Kenya's Ministry of Health: a smartphone app (based on Medic's open source Community Health Toolkit) with which more than 107,000 Community Health Promoters register households, manage cases and supplies, refer patients and exchange data with facilities' electronic records. Development since 2020, pilot in Kisumu in mid-2021, scale-up to all 47 counties by mid-2024, with more than 107,000 CHPs using the platform. Part of the presidential agenda to professionalize and pay CHPs.ChildCount+ in Sauri (Millennium Villages Project)SMS-based mHealth tool (built on RapidSMS, open source, GPL license) piloted since 2009 in Sauri, Siaya County, within the Earth Institute's (Columbia) Millennium Villages Project: community health workers registered by text the status of every child under 5 and pregnant woman (CMAM malnutrition, malaria, immunization, pregnancy monitoring and antenatal appointments), with automatic alerts and reminders. Handsets provided by Sony Ericsson (2009) and a toll-free number with Airtel Kenya. It ended with the closure of the MVP in 2015; the village was not prepared to sustain operations independently.
Evidence 2
Lay health workers in primary and community health care for maternal and child health and the management of infectious diseasesCochrane Database of Systematic Reviews (Wiley) · 2010 · paperdocumentCommunity health workers in low-, middle-, and high-income countries: an overview of their history, recent evolution, and current effectivenessAnnual Review of Public Health · 2014 · paperdocument